医療
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
肺切除術後滲出性肋膜炎に関する臨床的實驗的研究
(第1編)臨床的研究
河野 満江
著者情報
ジャーナル フリー

1959 年 13 巻 7 号 p. 550-567

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We sometimes have the experience shortly after pulmonary resection that in the operated side of the chest there is fluid which is relatively profuse in the amount ant almost transparent in color. This has been believed by us from both clinical and pathobacteriological considerations to be an exsudative pleurisy.
For the purpose of verifying this, cases were observed clinically and experimental studies were made on rabbits. The results were as the following:
(1) The development of the post-operative fluid was noticed in 3% of $52 total cases. 10% of 246 cases had either minimal pleural lesions or normal pleura, and none of them was found to have lung torn intra- or extra-pleurally.
(2) Judging from these clinical and bacterio-serological findings it was confirmed that the case was an exsudative pleurisy. The source of this fluid was not an infection of tuberculous bacillus but rather a mechanical and thermic irritant to the pleura during the operation.
Usually this was occured 4-10 days after the operation and disappeared within 30-50 days by an adequate treatment such as thoracentesis.
(3) Almost all cases had complete recovery without residual serious complications and the operated lung showed good expansion later.
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